Active NPI 1487621801 Individual Practitioner Male Practitioner

Dr. Robert Tadashi Hatanaka , DPM

Podiatrist • Glendale, CA

Professional Overview & Biography Verified Profile Summary

Dr. Robert Hatanaka, DPM is a registered healthcare professional specializing in Podiatrist in Glendale, CA. Practice services are available at 1101 N PACIFIC AVE under active NPI credentials.

Frequently performed procedures and clinical services include removal of fingernails or toenails, removal of skin of fingernail or toenail, removal of noncancer thickened skin growth, 2-4 growths. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

1101 N Pacific Ave
Ste 104

Glendale, CA 91202

Telephone 8185525000

Fax 8185522959

Associated Practice Facility / Clinic

🏢 J.ting Medical Corporation Facility NPI 1437100385

Specialty Benchmarks & Practice Insights

Comparative analytics for Podiatrist in Glendale, CA

Active Practitioner

Practitioner Clinical Experience

Active

City Avg: 39.8 Yrs

State Avg: 28.8 Yrs

Regional Practice Density

14 Specialists

Practicing in Glendale, CA (1110 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

42.8% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
11721 Removal of fingernails or toenails, 6 or more nails	1,496	561	$65.00	$47.07
11765 Removal of skin of fingernail or toenail	879	438	$220.00	$173.21
11721 Removal of fingernails or toenails, 6 or more nails	827	325	$50.00	$22.03
11056 Removal of noncancer thickened skin growth, 2-4 growths	764	260	$116.76	$48.92
11730 Simple separation of fingernail or toenail from nail bed, first nail	717	460	$120.10	$68.35
11765 Removal of skin of fingernail or toenail	568	266	$200.00	$68.96
10060 Simple or single drainage of skin abscess	517	344	$150.00	$85.53
11730 Simple separation of fingernail or toenail from nail bed, first nail	395	264	$100.00	$27.48
10060 Simple or single drainage of skin abscess	372	223	$120.00	$105.75
10160 Aspiration of abscess, blood accumulation, blister, or cyst	337	228	$180.00	$115.46
99213 Established patient office or other outpatient visit, typically 15 minutes	259	118	$101.27	$97.63
11740 Removal of blood accumulation under fingernail or toenail	164	146	$100.00	$31.36
10140 Drainage of blood or fluid accumulation	158	136	$250.00	$180.61
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	157	69	$90.00	$72.44
10140 Drainage of blood or fluid accumulation	114	92	$230.00	$117.10
11740 Removal of blood accumulation under fingernail or toenail	113	84	$100.00	$17.22
10160 Aspiration of abscess, blood accumulation, blister, or cyst	105	77	$160.00	$72.10
99304 Initial nursing facility care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes	101	101	$110.00	$76.99
11055 Removal of single thickened skin growth	69	42	$65.87	$45.07
99347 Residence visit for established patient with straightforward medical decision making, per day, if using time, at least 15 minutes	58	37	$85.00	$44.08
99341 New patient home visit, typically 20 minutes	50	50	$120.00	$47.61

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
11721 Removal of fingernails or toenails, 6 or more nails	2,571	752	$65.00	$48.83
11765 Removal of skin of fingernail or toenail	1,492	596	$220.00	$182.45
11730 Simple separation of fingernail or toenail from nail bed, first nail	1,321	640	$120.05	$70.12
11721 Removal of fingernails or toenails, 6 or more nails	1,100	366	$50.00	$24.22
11056 Removal of noncancer thickened skin growth, 2-4 growths	1,067	315	$95.30	$49.27
10060 Simple or single drainage of skin abscess	1,052	558	$150.00	$94.69
11765 Removal of skin of fingernail or toenail	753	279	$200.00	$74.07
11730 Simple separation of fingernail or toenail from nail bed, first nail	554	298	$100.00	$30.28
10060 Simple or single drainage of skin abscess	490	236	$120.00	$112.71
10160 Aspiration of abscess, blood accumulation, blister, or cyst	477	310	$179.96	$119.88
99213 Established patient office or other outpatient visit, typically 15 minutes	283	126	$102.67	$98.12
11740 Removal of blood accumulation under fingernail or toenail	268	209	$100.37	$33.02
10140 Drainage of blood or fluid accumulation	248	197	$250.00	$189.60
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	217	91	$90.00	$78.36
99304 Initial nursing facility care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes	152	152	$110.00	$84.25
99347 Residence visit for established patient with straightforward medical decision making, per day, if using time, at least 15 minutes	137	76	$85.00	$47.30
10160 Aspiration of abscess, blood accumulation, blister, or cyst	135	93	$160.00	$78.10
10140 Drainage of blood or fluid accumulation	134	94	$230.00	$125.43
11740 Removal of blood accumulation under fingernail or toenail	131	96	$100.00	$17.58
11055 Removal of single thickened skin growth	121	80	$56.57	$42.85
99341 New patient home visit, typically 20 minutes	90	90	$120.00	$51.40
11055 Removal of single thickened skin growth	31	25	$50.00	$8.35
99202 New patient office or other outpatient visit, typically 20 minutes	26	26	$117.31	$79.63
11056 Removal of noncancer thickened skin growth, 2-4 growths	16	13	$50.00	$11.25

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
11721 Removal of fingernails or toenails, 6 or more nails	2,518	880	$65.74	$49.15
11765 Removal of skin of fingernail or toenail	1,357	617	$220.00	$186.24
11721 Removal of fingernails or toenails, 6 or more nails	1,278	387	$50.00	$24.99
11730 Simple separation of fingernail or toenail from nail bed, first nail	1,020	624	$121.34	$76.09
11056 Removal of noncancer thickened skin growth, 2-4 growths	836	373	$75.48	$50.29
10060 Simple or single drainage of skin abscess	821	506	$150.80	$93.78
11765 Removal of skin of fingernail or toenail	661	274	$200.00	$75.88
10160 Aspiration of abscess, blood accumulation, blister, or cyst	493	313	$185.35	$118.57
10060 Simple or single drainage of skin abscess	490	250	$120.00	$112.29
11730 Simple separation of fingernail or toenail from nail bed, first nail	434	273	$100.00	$34.58
11740 Removal of blood accumulation under fingernail or toenail	325	247	$104.00	$34.87
99213 Established patient office or other outpatient visit, typically 15 minutes	305	104	$104.54	$98.84
10140 Drainage of blood or fluid accumulation	288	219	$243.40	$190.08
10140 Drainage of blood or fluid accumulation	195	126	$230.00	$127.37
11740 Removal of blood accumulation under fingernail or toenail	192	130	$100.00	$19.27
10160 Aspiration of abscess, blood accumulation, blister, or cyst	188	129	$160.00	$81.24
99334 Established patient custodial care facility, group care, or assisted living visit, typically 15 minutes	186	95	$85.00	$64.48
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	184	83	$90.00	$72.74
99304 Initial nursing facility care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes	146	146	$110.00	$92.81
11055 Removal of single thickened skin growth	131	101	$54.05	$45.79
99324 New patient assisted living visit, typically 20 minutes	108	108	$120.00	$57.29
11720 Removal of fingernails or toenails, 1-5 nails	34	11	$50.00	$15.01
99202 New patient office or other outpatient visit, typically 20 minutes	31	31	$113.23	$80.43
11055 Removal of single thickened skin growth	28	24	$50.00	$8.63
11056 Removal of noncancer thickened skin growth, 2-4 growths	15	12	$50.00	$12.27

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
11721 Removal of fingernails or toenails, 6 or more nails	2,840	965	$65.85	$49.99
11765 Removal of skin of fingernail or toenail	1,371	673	$220.00	$195.81
11730 Simple separation of fingernail or toenail from nail bed, first nail	1,367	683	$121.42	$80.07
11721 Removal of fingernails or toenails, 6 or more nails	1,196	371	$50.00	$25.42
11056 Removal of noncancer thickened skin growth, 2-4 growths	1,161	422	$75.66	$48.57
10060 Simple or single drainage of skin abscess	804	534	$151.28	$93.40
10160 Aspiration of abscess, blood accumulation, blister, or cyst	588	384	$187.18	$128.52
11765 Removal of skin of fingernail or toenail	518	247	$200.00	$78.13
11730 Simple separation of fingernail or toenail from nail bed, first nail	447	233	$100.00	$39.70
10060 Simple or single drainage of skin abscess	331	180	$120.00	$110.44
11740 Removal of blood accumulation under fingernail or toenail	305	252	$104.75	$36.68
10140 Drainage of blood or fluid accumulation	300	236	$240.33	$175.99
99213 Established patient office or other outpatient visit, typically 15 minutes	256	157	$106.02	$99.99
99334 Established patient custodial care facility, group care, or assisted living visit, typically 15 minutes	197	124	$85.00	$64.76
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	195	99	$90.00	$73.05
99304 Initial nursing facility care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes	188	188	$110.00	$95.33
11740 Removal of blood accumulation under fingernail or toenail	182	120	$100.00	$21.25
10140 Drainage of blood or fluid accumulation	182	123	$230.00	$129.41
99324 New patient assisted living visit, typically 20 minutes	180	180	$120.00	$57.69
10160 Aspiration of abscess, blood accumulation, blister, or cyst	163	111	$160.00	$86.24
11055 Removal of single thickened skin growth	109	88	$55.46	$45.63
11055 Removal of single thickened skin growth	28	19	$50.00	$9.62
11057 Removal of noncancer thickened skin growth, more than 4 growths	27	13	$113.33	$57.45
93923 Complete ultrasound study of arm and leg arteries	20	13	$270.00	$147.87
93924 Ultrasound study of arteries of both legs at rest and exercise	20	13	$285.00	$183.88
93970 Ultrasound study of arm or leg veins with compression and maneuvers	16	11	$300.00	$219.65

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
11721 Removal of fingernails or toenails, 6 or more nails	2,985	985	$64.85	$51.15
11721 Removal of fingernails or toenails, 6 or more nails	1,436	520	$50.00	$26.89
11056 Removal of noncancer thickened skin growth, 2-4 growths	1,387	435	$75.41	$45.43
11730 Simple separation of fingernail or toenail from nail bed, first nail	1,265	605	$120.26	$79.73
11765 Removal of skin of fingernail or toenail	1,239	668	$220.00	$195.68
10060 Simple or single drainage of skin abscess	656	459	$150.00	$93.91
10160 Aspiration of abscess, blood accumulation, blister, or cyst	592	383	$180.00	$126.61
11765 Removal of skin of fingernail or toenail	545	303	$200.00	$80.64
11730 Simple separation of fingernail or toenail from nail bed, first nail	373	239	$100.00	$44.41
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	347	187	$90.00	$74.93
10060 Simple or single drainage of skin abscess	336	201	$120.00	$110.17
11740 Removal of blood accumulation under fingernail or toenail	320	256	$100.00	$35.36
10140 Drainage of blood or fluid accumulation	298	231	$250.00	$174.78
99334 Established patient custodial care facility, group care, or assisted living visit, typically 15 minutes	296	186	$85.00	$65.75
99213 Established patient office or other outpatient visit, typically 15 minutes	231	149	$100.86	$83.00
99324 New patient assisted living visit, typically 20 minutes	208	208	$120.14	$59.42
11740 Removal of blood accumulation under fingernail or toenail	159	128	$100.00	$23.19
10140 Drainage of blood or fluid accumulation	148	116	$230.00	$131.30
99304 Initial nursing facility care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes	144	144	$110.00	$96.64
11055 Removal of single thickened skin growth	144	102	$51.32	$41.94
10160 Aspiration of abscess, blood accumulation, blister, or cyst	131	107	$160.00	$87.18
11055 Removal of single thickened skin growth	47	37	$50.00	$10.97
11057 Removal of noncancer thickened skin growth, more than 4 growths	42	23	$97.50	$64.02
11056 Removal of noncancer thickened skin growth, 2-4 growths	31	23	$50.00	$16.12
93923 Complete ultrasound study of arm and leg arteries	25	16	$270.00	$146.97
93924 Ultrasound study of arteries of both legs at rest and exercise	25	16	$285.00	$181.96
93970 Ultrasound study of arm or leg veins with compression and maneuvers	19	14	$300.00	$216.88
93925 Ultrasound of leg arteries or artery grafts	17	13	$350.00	$283.16

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
11721 Removal of fingernails or toenails, 6 or more nails	2,515	764	$64.74	$49.02
11721 Removal of fingernails or toenails, 6 or more nails	1,825	695	$50.00	$25.54
11056 Removal of noncancer thickened skin growth, 2-4 growths	971	297	$75.10	$42.84
11730 Simple separation of fingernail or toenail from nail bed, first nail	832	391	$120.08	$77.06
11765 Removal of skin of fingernail or toenail	829	443	$220.00	$186.90
10060 Simple or single drainage of skin abscess	665	404	$149.95	$102.03
11765 Removal of skin of fingernail or toenail	488	307	$199.80	$80.38
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	478	228	$90.00	$71.64
10060 Simple or single drainage of skin abscess	415	285	$120.14	$104.47
99334 Established patient custodial care facility, group care, or assisted living visit, typically 15 minutes	319	201	$85.00	$62.80
11730 Simple separation of fingernail or toenail from nail bed, first nail	298	222	$100.00	$46.85
10160 Aspiration of abscess, blood accumulation, blister, or cyst	295	216	$180.00	$116.41
99213 Established patient office or other outpatient visit, typically 15 minutes	252	138	$99.33	$78.83
99304 Initial nursing facility care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes	251	251	$110.64	$92.83
11740 Removal of blood accumulation under fingernail or toenail	229	182	$100.00	$33.63
10140 Drainage of blood or fluid accumulation	227	185	$250.00	$169.81
11055 Removal of single thickened skin growth	201	135	$51.27	$38.45
11740 Removal of blood accumulation under fingernail or toenail	161	133	$100.62	$24.53
10160 Aspiration of abscess, blood accumulation, blister, or cyst	161	136	$162.05	$87.68
10140 Drainage of blood or fluid accumulation	149	124	$227.25	$126.09
99324 New patient assisted living visit, typically 20 minutes	107	107	$119.81	$57.46
11055 Removal of single thickened skin growth	86	67	$50.00	$12.40
11056 Removal of noncancer thickened skin growth, 2-4 growths	56	47	$50.54	$18.65
99347 Residence visit for established patient with straightforward medical decision making, per day, if using time, at least 15 minutes	35	12	$100.00	$57.37
93924 Ultrasound study of arteries of both legs at rest and exercise	34	27	$285.00	$181.82
93923 Complete ultrasound study of arm and leg arteries	32	26	$270.00	$146.87
11720 Removal of fingernails or toenails, 1-5 nails	30	14	$50.00	$15.15
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	29	21	$49.00	$47.70
93925 Ultrasound of leg arteries or artery grafts	27	22	$350.00	$282.44
93970 Ultrasound study of arm or leg veins with compression and maneuvers	25	18	$300.00	$214.68
11057 Removal of noncancer thickened skin growth, more than 4 growths	20	12	$85.00	$57.36

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
11721 Removal of fingernails or toenails, 6 or more nails	2,676	922	$64.96	$47.64
11721 Removal of fingernails or toenails, 6 or more nails	2,114	743	$50.04	$24.72
11056 Removal of noncancer thickened skin growth, 2-4 growths	910	339	$74.69	$38.53
11730 Simple separation of fingernail or toenail from nail bed, first nail	777	405	$115.66	$91.80
11765 Removal of skin of fingernail or toenail	720	458	$219.73	$180.26
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	692	348	$90.01	$69.99
10060 Simple or single drainage of skin abscess	591	380	$149.87	$101.05
99213 Established patient office or other outpatient visit, typically 15 minutes	521	209	$99.66	$75.52
11765 Removal of skin of fingernail or toenail	489	307	$200.08	$79.97
99334 Established patient custodial care facility, group care, or assisted living visit, typically 15 minutes	453	278	$86.74	$60.98
10060 Simple or single drainage of skin abscess	434	277	$120.94	$99.85
11055 Removal of single thickened skin growth	367	242	$58.56	$32.74
99304 Initial nursing facility care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes	273	273	$119.27	$91.34
11730 Simple separation of fingernail or toenail from nail bed, first nail	238	183	$100.00	$48.76
10160 Aspiration of abscess, blood accumulation, blister, or cyst	235	198	$189.96	$120.31
10160 Aspiration of abscess, blood accumulation, blister, or cyst	219	177	$170.96	$85.82
11740 Removal of blood accumulation under fingernail or toenail	216	162	$100.00	$26.46
10140 Drainage of blood or fluid accumulation	209	169	$214.02	$121.75
10140 Drainage of blood or fluid accumulation	201	169	$249.45	$166.27
11740 Removal of blood accumulation under fingernail or toenail	194	161	$100.00	$36.65
99324 New patient assisted living visit, typically 20 minutes	155	155	$124.06	$55.88
11055 Removal of single thickened skin growth	122	90	$50.29	$11.65
11056 Removal of noncancer thickened skin growth, 2-4 growths	70	53	$55.57	$16.85
11720 Removal of fingernails or toenails, 1-5 nails	49	23	$50.00	$14.53
93924 Ultrasound study of arteries of both legs at rest and exercise	46	38	$285.00	$177.79
93923 Complete ultrasound study of arm and leg arteries	46	38	$270.00	$142.56
11042 Removal of skin and tissue, 20.0 sq cm or less	33	29	$120.61	$54.67
99202 New patient office or other outpatient visit, typically 20 minutes	32	32	$111.56	$78.17
93925 Ultrasound of leg arteries or artery grafts	32	25	$350.00	$273.63
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	30	21	$49.00	$43.75
93970 Ultrasound study of arm or leg veins with compression and maneuvers	27	21	$300.00	$205.42
11000 Removal of inflamed or infected skin, up to 10% of body surface	21	17	$100.00	$41.43
11042 Removal of skin and tissue, 20.0 sq cm or less	21	18	$150.00	$101.06
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	14	14	$132.86	$107.31

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
11721 Removal of fingernails or toenails, 6 or more nails	2,375	944	$64.70	$47.38
11721 Removal of fingernails or toenails, 6 or more nails	1,550	642	$50.11	$25.10
11765 Removal of skin of fingernail or toenail	562	397	$219.95	$180.76
11730 Simple separation of fingernail or toenail from nail bed, first nail	513	391	$118.07	$100.57
10060 Simple or single drainage of skin abscess	459	333	$149.87	$102.64
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	453	206	$90.07	$70.32
11056 Removal of noncancer thickened skin growth, 2-4 growths	436	273	$74.09	$46.89
11055 Removal of single thickened skin growth	427	300	$59.86	$32.53
99334 Established patient custodial care facility, group care, or assisted living visit, typically 15 minutes	411	226	$87.69	$61.86
99213 Established patient office or other outpatient visit, typically 15 minutes	341	188	$99.48	$76.08
11765 Removal of skin of fingernail or toenail	326	236	$200.18	$84.30
10060 Simple or single drainage of skin abscess	315	227	$121.43	$99.86
99304 Initial nursing facility care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes	301	300	$114.45	$92.95
11740 Removal of blood accumulation under fingernail or toenail	251	209	$103.15	$39.98
10160 Aspiration of abscess, blood accumulation, blister, or cyst	221	189	$184.62	$127.35
10140 Drainage of blood or fluid accumulation	211	176	$246.02	$168.63
11730 Simple separation of fingernail or toenail from nail bed, first nail	195	160	$100.00	$50.15
11740 Removal of blood accumulation under fingernail or toenail	192	158	$100.21	$26.89
10140 Drainage of blood or fluid accumulation	185	148	$215.19	$122.94
10160 Aspiration of abscess, blood accumulation, blister, or cyst	144	120	$169.24	$90.79
99324 New patient assisted living visit, typically 20 minutes	134	134	$118.28	$56.72
11720 Removal of fingernails or toenails, 1-5 nails	120	78	$50.00	$14.84
11720 Removal of fingernails or toenails, 1-5 nails	117	96	$50.73	$34.30
11000 Removal of inflamed or infected skin, up to 10% of body surface	112	101	$100.00	$45.56
11055 Removal of single thickened skin growth	107	81	$51.68	$11.60
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	55	55	$140.91	$109.43
11056 Removal of noncancer thickened skin growth, 2-4 growths	53	44	$54.53	$18.27
11042 Removal of skin and tissue, 20.0 sq cm or less	47	37	$150.00	$113.40
93923 Complete ultrasound study of arm and leg arteries	44	44	$270.00	$140.80
93924 Ultrasound study of arteries of both legs at rest and exercise	43	43	$285.00	$174.70
93970 Ultrasound study of arm or leg veins with compression and maneuvers	31	30	$300.00	$201.11
11000 Removal of inflamed or infected skin, up to 10% of body surface	28	26	$97.50	$26.22
99202 New patient office or other outpatient visit, typically 20 minutes	26	26	$111.92	$78.43
11042 Removal of skin and tissue, 20.0 sq cm or less	25	21	$123.20	$56.40
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	21	19	$49.00	$42.95
93925 Ultrasound of leg arteries or artery grafts	21	17	$350.00	$264.93

Medical Specialties & State Licenses

Podiatrist Primary Specialty

NUCC Taxonomy Code: 213E00000X

State License CA E3814

A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

000E38140 (CA)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

5 Associated Practitioners

James Anenih , PA

Internal Medicine

NPI 1093817918

Physician Assistant

Dr. Arthur Chakrian , DC

Chiropractor

NPI 1609631449

Doctor of Chiropractic

Keristineh Seyfi , FNP

Nurse Practitioner

NPI 1689400137

Family Nurse Practitioner

Dr. Frank Garofalo , DPM

Podiatrist

NPI 1790713493

Doctor of Podiatric Medicine

Aileen Kasparian

Nurse Practitioner - Primary Care

NPI 1912735325

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events

✅

NPI Profile Active December 17, 2010

NPI status registered as active in NPPES database

📍

Updated Practice Location December 17, 2010

Registered at 1101 N PACIFIC AVE, STE 104, GLENDALE, CA 91202 (Tel: 8185525000)

📍

Updated Business Mailing Address December 17, 2010

Registered at 1101 N PACIFIC AVE, STE 104, GLENDALE, CA 91202 (Tel: 8185525000)

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Provider Name / Credentials Updated December 17, 2010

Recorded as ROBERT HATANAKA, DPM

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Medical Taxonomy / Specialty Registered (Primary Specialty) December 17, 2010

Podiatrist (License #E3814 in CA)

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Initial NPI Registration & Enumeration March 03, 2006

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1487621801

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: March 03, 2006

Last Update: December 17, 2010

Sole Proprietor: Yes

Update or Correct Profile

Mailing Address

1101 N Pacific Ave, Ste 104

Glendale, CA 91202

Phone: 8185525000

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

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